European Archives of Oto-Rhino-Laryngology

, Volume 260, Issue 6, pp 295–297

Partial cricotracheal resection for pediatric subglottic stenosis: a single institution's experience in 60 cases.

Authors

    • Department of Otolaryngology and Head and Neck Surgery, University Hospital, CHUV, 1011 Lausanne, Switzerland
  • F. Lang
    • Department of Otolaryngology and Head and Neck Surgery, University Hospital, CHUV, 1011 Lausanne, Switzerland
  • M. Savary
    • Department of Otolaryngology and Head and Neck Surgery, University Hospital, CHUV, 1011 Lausanne, Switzerland
Laryngology

DOI: 10.1007/s00405-002-0465-y

Cite this article as:
Monnier, P., Lang, F. & Savary, M. Eur Arch Otorhinolaryngol (2003) 260: 295. doi:10.1007/s00405-002-0465-y

Abstract.

In our study, 60 infants and children, each with a severe subglottic stenosis (SGS), underwent partial cricotracheal resection (PCTR) with primary thyrotracheal anastomosis. According to the Myer-Cotton classification, two were grade II, 41 were grade III and 17 were grade IV stenoses. Of the 60 patients, 57 (95%) are presently decannulated, and one patient sustained a complete restenosis. Two patients with better than 80% subglottic airways still are waiting for decannulation: one because of bilateral cricoarytenoid joint fixation and the second because of temporary stenting of the subglottis with a Montgomery T-tube. The rate of decannulation is 97% (36 of 37 cases) in primary PCTRs, 100% (13 of 13 cases) in salvage PCTRs for failed laryngotracheal reconstructions (LTR) and 70% (7 of 10 cases) in extended PCTRs (i.e., PCTR associated with an additional open-airway procedure).

Keywords.

Cricotracheal resection Subglottic stenosis Infants Children

Copyright information

© Springer-Verlag  2003